Texas Department of Insurance Forms

This form is used for filing a worker's compensation complaint in Texas.

This form is used for adding or adjusting the amount of surety bond in Texas.

This Form is used for reporting the work status of an employee in Texas who is on workers' compensation. It helps to track the employee's progress and determine their eligibility for benefits.

This Form is used for applying to receive Supplementary Income Benefits in Texas.

This form is used for requesting a record check in the state of Texas.

This form is used for applying for a Premium Finance Company License in Texas.

This form is used for listing the principals of a premium finance applicant in Texas.

This form is used for submitting an Electronic Data Interchange (EDI) Trading Partner Profile for Texas. It allows businesses to provide their information and preferences for participating in EDI transactions in the state of Texas.

This Form is used for comparing premium finance options in Texas. It is available in both English and Spanish languages.

This form is used for moving a captive insurance company's books and records out of the state of Texas.

This Form is used for certifying that a reinsurer is certified in accordance with the Texas Insurance Code.

This form is used for appointing a statutory agent and providing consent to service for premium finance applicants in Texas.

This form is used for establishing an independent relationship between a general contractor and a subcontractor in Texas.

This Form is used for filing Articles of Incorporation for a Texas Domestic Property and Casualty Insurance Company in the state of Texas. It is a legal document that establishes the company as a separate legal entity.

This form is used for filing the Articles of Incorporation for a Texas Domestic Life, Health and Accident Company in the state of Texas. It is an important document for establishing and legally recognizing the existence of the company.

This form is used for companies wishing to re-enter the Texas insurance market after filing a withdrawal plan.

This form is used for a checklist that verifies the information provided in the biographical affidavit for Continuing Care Retirement Communities (CCRCs) in Texas.

This form is used for completing a name change checklist for HMO (Health Maintenance Organization) in the state of Texas. It guides individuals through the necessary steps and requirements for updating their name with their HMO.

This Form is used for filing a checklist for Health Maintenance Organizations (HMOs) doing business as (DBA) in Texas. It helps ensure that all necessary documents and requirements are met for HMO DBA filings.

This form is used for voluntary dissolution of a business in the state of Texas. It provides a checklist to ensure all necessary steps are taken.

This form is used for reciprocal or inter-insurance exchanges in the state of Texas.

This Form is used for Lloyds Underwriters based in Texas.

This form is used for providing a format for the disclosure statement required by CCRC Form 6 in the state of Texas. It provides instructions for filling out the required information.

This Form is used for transmitting the statutory deposit fee in Texas. It is required for certain businesses to submit this form along with the corresponding fee to the appropriate agency.

This form is used for obtaining a certificate of assuming insurer in the state of Texas. It is a requirement for insurers who are taking on policies from another insurer.

This form is used for facilitating the process of name change/merger of securities on deposit in the state of Texas. It serves as a checklist to ensure all the necessary steps and documents are completed and submitted correctly.

This document is a checklist used in Texas for placing an initial statutory deposit. It outlines the steps and requirements for placing the deposit.

This form is used for checking the requirements and process for substituting statutory deposits in Texas. It helps ensure compliance with the necessary regulations and guidelines.

This form is used for the withdrawal of a statutory deposit in the state of Texas. It serves as a checklist to ensure all necessary steps are completed for the withdrawal process.